Masilla, Audrey Grace
Masilla, Audrey Grace is an individual health care provider with primary practice located at 916 Borage Dr , Wake Forest NC 27587-5150. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Masilla, Audrey Grace can be contacted via phone (334) 714-8291.Contact Information
Primary practice address
916 Borage Dr
Wake Forest NC 27587-5150
Phone: (334) 714-8291
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5515 | North Carolina |
Profile Details
| NPI number | 1326353020 |
|---|---|
| LBN Legal business name | Masilla, Audrey Grace |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2010 |
| Last updated | Mar 17th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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